LIMITED LIABILITY COMPANY

ACCOUNT NUMBER
LIMITED LIABILITY COMPANY AGREEMENT FOR NEW ACCOUNTS
Important Information About Procedures for Opening a New Account To help the government fight the funding of terrorism and money-laundering activities, Federal
law and contractual obligations to National Financial Services (“NFS”) require that your Broker/Dealer verify your identity by obtaining your name, date of birth, address, and
a government-issued identification number before opening your account. In certain circumstances, your Broker/Dealer may obtain and verify this information with respect
to any person(s) authorized to effect transactions in an account. For certain entities, such as trusts, estates, corporations, partnerships, or other organizations, identifying
documentation is also required.
Your account may be restricted and/or closed if your Broker/Dealer cannot verify this information. Neither your Broker/Dealer nor NFS will be responsible for any losses or
damages (including but not limited to lost opportunities) resulting from any failure to provide this information, or from any restriction placed upon, or closing of, your account.
Please complete all sections.
Section 3 authorizes an account to be opened in the name of the Company with NFS. Section 2 identifies those Members or individuals authorized to transact business on the
account. Section 5 must be signed by a Member other than those listed in Section 2. If you have any questions, please contact your Broker/Dealer.
1. ACCOUNT INFORMATION
This section is only required for entity accounts.
ENTITY NAME
COUNTRY OF ORGANIZATION
TAX ID NUMBER
COUNTRY OF TAX RESIDENCE
ENTITY ID DOCUMENT
Legal Address No P.O. boxes
Mailing Address
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
CITY
STATE/PROVINCE
TRUST DATE Required for Trusts
ZIP/POSTAL CODE
CITY
COUNTRY
STATE/COUNTRY OF ID ISSUANCE
Same as Legal Address
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
Government ID-Foreign Entities Only (Please attach a copy)
Type of Document_____________
Government Issued Identification Number_____
Country of Issuance____________
2. CERTIFICATIONS
All Authorized Individuals listed in paragraph C must complete the Authorized Individual Information following paragraph F. The Member certifying the resolutions, by signing
section 5, cannot be listed as an Authorized Individual unless they are the sole member and the “Sole Member” box below is checked.
Sole Member
(Name),
I,
(Title)
hereby certify the following:
A.
that the Company identified above is duly organized and existing under the laws of the state of
on this form.
B.
that the resolutions on this form were duly adopted by the Members of said Company at a meeting held on
, at which a quorum of said
Members was present and acting throughout; that no action has been taken to rescind or amend said resolutions; and, that the same are now in full force and effect.
C.
that each of the following, named individuals, has been duly elected, is now legally holding the office set beside his/her name, and that any one of them acting individually is, and
they hereby are, authorized to execute any and all instruments necessary, proper and desirable for the purpose, including executing any and all documentation necessary to
and has the power to take the action called for by the resolutions
Cash
Margin
Option (check all that apply) in the name of said Corporation with NFS and to purchase, trade, sell (including
establish the following account(s):
short sales in margin accounts), assign, withdraw, transfer and/or deliver any and all stocks, bonds, options, or any other assets or securities, listed or unlisted and to establish
check-writing and other account related services in said accounts; further, that any past action in accordance herewith is hereby ratified and confirmed; and further, that any
officer of this Corporation (other than those listed here) is hereby authorized to certify this resolution to NFS. This authorization shall continue in force until revoked by the above
named Corporation by a written notice, addressed and delivered to NFS, at its main office. All individuals listed below must complete Section 3 “Authorized Individual Information”.
1.747633.102
021940001
1
ACCOUNT NUMBER
1. Authorized Individual
Title
2. Authorized Individual
Title
3. Authorized Individual
Title
Complete D-F only if Company’s management team includes non-members.
D. that each of the following has been duly elected as part of the management team, is now legally holding the office set opposite his/her name, and that any one of them acting
individually is, and they hereby are, authorized to purchase, trade, sell, assign, transfer and/or deliver any and all stocks, bonds, options, or any other securities, listed or
unlisted, in said account and to execute any and all instruments necessary, proper and desirable for the purpose, including executing any and all documentation necessary
Cash
Margin
Option Account (check all that apply); further, that any past action in accordance herewith is hereby ratified and confirmed; and further,
to establish
that any Member of this Company (other than those listed here) is hereby authorized to certify this resolution to my Broker/Dealer and/or NFS. All individuals listed below
must complete Section 3 “Authorized Individual Information.”
1. Authorized Individual
Title
2. Authorized Individual
Title
E. that the Resolutions herein are not contrary to any provision in the certificate of formation and/or operating agreement of this Company, and that I have been authorized to
make this certification to NFS on behalf of this Company.
F. the undersigned agrees that any information given on this account agreement is subject to verification and authorizes your Broker/Dealer or NFS to obtain a credit or other
financial responsibility report with respect to the registered account holder as well as any individual authorized to transact business on behalf of the registered account holder,
and that the undersigned is authorized to express the consent of such authorized individuals to obtain a report, and that such individuals have been notified of the possibility
thereof. Upon written request, your Broker/Dealer and/or NFS will provide the name and address of the credit reporting agency used.
3. AUTHORIZED INDIVIDUAL INFORMATION
Use this section to provide personal information on any additional individuals associated with this account (such as a joint owner, authorized individual, minor, administrator,
trustee, partner, or participant).
First Authorized Individual
Personal Information
For Tenants in Common, indicate this owner’s share:
FULL LEGAL NAME first, middle, last
DATE OF BIRTH mm/dd/yyyy
DAY PHONE
COUNTRY OF CITIZENSHIP
EVENING PHONE
SOCIAL SECURITY NO.
E-MAIL
COUNTRY OF TAX RESIDENCE
TYPE OF GOVERNMENT-ISSUED ID
Single/Divorced/Widowed
Married
Legal Address No P.O. boxes
No. of Dependents:
STATE/COUNTRY OF ID ISSUANCE
Mailing Address
Same as Primary Holder’s Legal Address
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
CITY
TAXPAYER ID NO.
STATE/PROVINCE
ZIP/POSTAL CODE
CITY
COUNTRY
ID NUMBER
ID ISSUANCE DATE
ID EXPIRATION DATE
Same as Legal Address of This Account Holder
STATE/PROVINCE
COUNTRY
1.747633.102
2
021940002
ZIP/POSTAL CODE
ACCOUNT NUMBER
Employer Information and Affiliations
Employment Status
Employed
OCCUPATION
Attach additional sheet if needed.
Retired
Not Employed
Check this box if you are a control person or affiliate or an immediate family/
household member of a control person or affiliate of a publicly traded company
under SEC Rule 144 (this would include, but is not limited to, a director, 10%
shareholder, policy-making officer, and members of the board of directors).
INCOME SOURCE If retired or not employed
COMPANY NAME
EMPLOYER NAME
COMPANY SYMBOL/CUSIP
Check this box if you are affiliated with, or employed by, a stock exchange,
or a member firm of an exchange or Financial Industry Regulatory Authority
(FINRA), or a municipal securities dealer. If yes, provide name of entity:
ADDRESS LINE 1
ADDRESS LINE 2
Same as My Employer.
CITY
STATE/PROVINCE
ZIP
COUNTRY
AFFILIATED ENTITY NAME
I am
I am not
a senior foreign political figure, or a family member
or close relative of a senior foreign political figure.
ADDRESS LINE 1
ADDRESS LINE 2
CITY
STATE/PROVINCE
ZIP
COUNTRY
Second Authorized Individual
Personal Information
For Tenants in Common, indicate this owner’s share:
FULL LEGAL NAME first, middle, last
DATE OF BIRTH mm/dd/yyyy
DAY PHONE
COUNTRY OF CITIZENSHIP
EVENING PHONE
SOCIAL SECURITY NO.
E-MAIL
COUNTRY OF TAX RESIDENCE
TYPE OF GOVERNMENT-ISSUED ID
Single/Divorced/Widowed
Married
Legal Address No P.O. boxes
No. of Dependents:
STATE/COUNTRY OF ID ISSUANCE
Mailing Address
Same as Primary Holder’s Legal Address
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
ID NUMBER
ID ISSUANCE DATE
ID EXPIRATION DATE
Same as Legal Address of This Account Holder
CITY
COUNTRY
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
Employer Information and Affiliations
Employment Status
Employed
OCCUPATION
Attach additional sheet if needed.
Retired
Not Employed
Check this box if you are a control person or affiliate or an immediate family/
household member of a control person or affiliate of a publicly traded company
under SEC Rule 144 (this would include, but is not limited to, a director, 10%
shareholder, policy-making officer, and members of the board of directors).
INCOME SOURCE If retired or not employed
COMPANY NAME
EMPLOYER NAME
COMPANY SYMBOL/CUSIP
Check this box if you are affiliated with, or employed by, a stock exchange,
or a member firm of an exchange or Financial Industry Regulatory Authority
(FINRA), or a municipal securities dealer. If yes, provide name of entity:
ADDRESS LINE 1
ADDRESS LINE 2
CITY
TAXPAYER ID NO.
Same as My Employer.
STATE/PROVINCE
ZIP
COUNTRY
AFFILIATED ENTITY NAME
I am
I am not
a senior foreign political figure, or a family member
or close relative of a senior foreign political figure.
ADDRESS LINE 1
ADDRESS LINE 2
CITY
1.747633.102
STATE/PROVINCE
ZIP
021940003
3
COUNTRY
ACCOUNT NUMBER
Third Authorized Individual
Personal Information
For Tenants in Common, indicate this owner’s share:
FULL LEGAL NAME first, middle, last
DATE OF BIRTH mm/dd/yyyy
DAY PHONE
COUNTRY OF CITIZENSHIP
EVENING PHONE
SOCIAL SECURITY NO.
E-MAIL
TAXPAYER ID NO.
COUNTRY OF TAX RESIDENCE
TYPE OF GOVERNMENT-ISSUED ID
Single/Divorced/Widowed
Married
Legal Address No P.O. boxes
No. of Dependents:
STATE/COUNTRY OF ID ISSUANCE
Mailing Address
Same as Primary Holder’s Legal Address
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
ID ISSUANCE DATE
ID EXPIRATION DATE
Same as Legal Address of This Account Holder
CITY
COUNTRY
ID NUMBER
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
Employer Information and Affiliations
Employment Status
Employed
OCCUPATION
Attach additional sheet if needed.
Retired
Not Employed
Check this box if you are a control person or affiliate or an immediate family/
household member of a control person or affiliate of a publicly traded company
under SEC Rule 144 (this would include, but is not limited to, a director, 10%
shareholder, policy-making officer, and members of the board of directors).
INCOME SOURCE If retired or not employed
COMPANY NAME
EMPLOYER NAME
COMPANY SYMBOL/CUSIP
Check this box if you are affiliated with, or employed by, a stock exchange,
or a member firm of an exchange or Financial Industry Regulatory Authority
(FINRA), or a municipal securities dealer. If yes, provide name of entity:
ADDRESS LINE 1
ADDRESS LINE 2
Same as My Employer.
CITY
STATE/PROVINCE
ZIP
COUNTRY
AFFILIATED ENTITY NAME
I am
I am not
a senior foreign political figure, or a family member
or close relative of a senior foreign political figure.
ADDRESS LINE 1
ADDRESS LINE 2
CITY
STATE/PROVINCE
ZIP
COUNTRY
4. AUTHORIZED ENTITY (IF ANY)
Provide information on any entity that is an account holder. If completing this section, you will be required to submit additional documentation. Please ask your representative
what documentation is needed.
Entity Information
If this account holder is an entity, provide information below.
ENTITY NAME
STATE/COUNTRY OF ORGANIZATION
TAX ID NO.
COUNTRY OF TAX RESIDENCE
ENTITY ID DOCUMENT
Legal Address No P.O. boxes
Mailing Address
ADDRESS LINE 1
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 2
CITY
STATE/PROVINCE
TRUST DATE For Trusts Only
ZIP/POSTAL CODE
CITY
COUNTRY
STATE/COUNTRY OF ID ISSUANCE
Same as Legal Address
STATE/PROVINCE
COUNTRY
1.747633.102
021940004
4
ZIP/POSTAL CODE
ACCOUNT NUMBER
5. SIGNATURE OF CERTIFYING MEMBER
CERTIFIED COPY OF CERTAIN RESOLUTIONS ADOPTED BY THE MEMBERS WHEREBY THE ESTABLISHMENT
AND MAINTENANCE OF TRADING ACCOUNTS HAVE BEEN AUTHORIZED
RESOLVED
generally to do and take all action necessary in connection with the account, or considered desirable by such Member and/or agent with respect thereto.
First: That the individuals listed in section(s) 2(C) and/or 2(D) of this Limited Liability
Company Agreement are, and each of them hereby is, authorized and empowered,
for and on behalf of this Company (herein called the “Company”), to establish and
maintain one or more accounts (which may be margin accounts), with my Broker/
Dealer and National Financial Services LLC (herein collectively called You) for the
purpose of purchasing, investing in, or otherwise acquiring, selling (including shortsales), possessing, transferring, exchanging, or otherwise disposing of, or turning to
account of, or realizing upon, and generally dealing in and with any and all forms of
securities including, but not by way of limitation, shares, stocks, bonds, debentures,
notes, script, participation certificates, rights to subscribe, options, warrants, certificates
of deposit, mortgages, evidences of indebtedness, commercial paper, certificates of
indebtedness and certificates of interest of any and every kind and nature whatsoever,
secured or unsecured, whether represented by trust, participating and/or other
certificates or otherwise.
Second: That You may deal with any and all of the persons directly or indirectly by
the foregoing resolution empowered, as though they were dealing with the Company
directly.
Third: That the Manager and/or Members of the Company be and hereby is authorized,
empowered and directly to certify, under the seal of the Company, or otherwise, to You:
(a)
a true copy of these resolutions;
(b)
specimen signatures of each and every person by these resolutions empowered;
(c) a certificate (which, if required by You, shall be supported by an opinion of the
general counsel of the Company, or other counsel satisfactory to You) that the
Company is duly organized and existing, that its charter empowers it to transact
the business by these resolutions defined, and that no limitation has been imposed
upon such powers by the operating agreement or otherwise.
The fullest authority at all times with respect to any such commitment or with respect to
any transaction deemed by any of the said Members and/or agents to be proper in connection therewith is hereby conferred, including authority (without limiting the generality
of the foregoing) to give written or oral instructions to You with respect to said transactions; to borrow money and securities and to borrow such money and securities from
or through You, and to secure repayment thereof with the property of the Company; to
bind and obligate the Company to and for the carrying out of any contract, arrangement,
or transaction, which shall be entered into by any such officer and/or agent for and on
behalf of the Company with or through You; to pay by checks and/or drafts drawn upon
the funds of the Company such sums as may be necessary in connection with any of
the said accounts; to deliver securities and contracts to You; to deliver securities to/and
deposit funds with You; to order the transfer or delivery of securities to any other person whatsoever, and/or to order the transfer of record of any securities, to any name
selected by any of the said Members or agents, or securities to any name selected by
any of the said Members or agents; to affix the Company seal to any documents or
agreements, or otherwise; to endorse the Company all releases, powers of attorney,
and/or other documents in connection with any such account, and to agree to any terms
or conditions to control any such account; to direct You to surrender any securities to
the proper agent or party for the purpose of effecting any exchange or conversion, or
for the purpose of deposit with any protective or similar committee, or otherwise; to accept delivery of any securities; to appoint any other person or persons to do any and all
things which any of the said members and/or agents is hereby empowered to do, and
Fourth: That You may rely upon any certification given in accordance with these resolutions, as continuing fully effective unless and until You shall receive due written notice
of a change in or rescission of authority so evidenced and the dispatch or receipt of any
other form of notice shall not constitute a waiver of this provision, nor shall the fact that
any person hereby empowered ceases to be a Member of the Company or becomes
a Member under some other title, in any way affect the powers hereby conferred. The
failure to supply any specimen signature shall not invalidate any transaction if the
transaction is in accordance with authority actually granted.
Fifth: That in the event of any change in the office or powers of persons hereby
empowered, the Member shall certify such changes to You in writing to the manner
hereinabove provided, which notification, when received, shall be adequate both to
terminate the powers of the persons theretofore authorized, and to empower the persons thereby substituted.
Sixth: That the foregoing resolutions and the certificates actually furnished to You by
the Member of the Company pursuant thereto, be and they hereby are made irrevocable
until written notice of the revocation thereof shall have been received by You.
Seventh: That the Company and its members indemnifies and holds You harmless
from any claim, loss, expense, or other liability for affecting any transactions and acting
upon any instructions given by the Authorized Individuals of the Company.
This certification must be signed by a Member other than those named in Section 2(C) or (D), unless you designate that you are the sole Member of the Company.
X
SIGNATURE OF MEMBER
SEAL
DATE
Imprint Corporate Seal or please include a copy of Articles of Incorporation with this form.
Clear Form
National Financial Services LLC, Member NYSE, SIPC
1.747633.102 - 357590.2.0 (06/09)
1.747633.102
021940005
5